Levine, Bruce L.
Levine, Bruce L. is an sole proprietor health care provider with primary practice located at 53 S Main St Suite 302, Hanover NH 03755-2022. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Levine, Bruce L. can be contacted via phone (603) 676-7711.Contact Information
Primary practice address
53 S Main St Suite 302
Hanover NH 03755-2022
Phone: (603) 676-7711
Fax: (603) 676-7711
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 48-618 | Vermont |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 421 | New Hampshire |
Profile Details
| NPI number | 1124146105 |
|---|---|
| LBN Legal business name | Levine, Bruce L. |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 27th, 2007 |
| Last updated | Oct 29th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124146105 | NPPES |
| Vermont | MEDICAID | OVN0954 | |
| Vermont | MEDICAID | 30420051 |
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